Mediastinal Hematoma and Tracheal Compression following Transradial Percutaneous Coronary Intervention
Vascular complications from transradial percutaneous coronary intervention (PCI) are rare. We report an unusual case of stridor after PCI due to brachiocephalic artery perforation, pseudoaneurysm formation, and development of a large mediastinal hematoma with tracheal compression. Endovascular repai...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2018/6790120 |
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| author | Nathaniel R. Smilowitz Muhamed Saric Michael J. Attubato James N. Slater |
| author_facet | Nathaniel R. Smilowitz Muhamed Saric Michael J. Attubato James N. Slater |
| author_sort | Nathaniel R. Smilowitz |
| collection | DOAJ |
| description | Vascular complications from transradial percutaneous coronary intervention (PCI) are rare. We report an unusual case of stridor after PCI due to brachiocephalic artery perforation, pseudoaneurysm formation, and development of a large mediastinal hematoma with tracheal compression. Endovascular repair of the brachiocephalic artery was achieved with covered stent placement at the neck of the pseudoaneurysm. This case highlights the importance of careful guide catheter placement from the right radial approach. Ultimately, rapid diagnosis of vascular perforation, appropriate airway management, and prompt endovascular repair of the injured vessel is critical to the successful management of this life-threatening condition. |
| format | Article |
| id | doaj-art-8e3687e5fcbb4bc884110d95efdc9fc2 |
| institution | Kabale University |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-8e3687e5fcbb4bc884110d95efdc9fc22025-02-03T07:24:56ZengWileyCase Reports in Cardiology2090-64042090-64122018-01-01201810.1155/2018/67901206790120Mediastinal Hematoma and Tracheal Compression following Transradial Percutaneous Coronary InterventionNathaniel R. Smilowitz0Muhamed Saric1Michael J. Attubato2James N. Slater3Division of Cardiology, Department of Medicine, NYU School of Medicine, NYU Langone Health, New York, NY, USADivision of Cardiology, Department of Medicine, NYU School of Medicine, NYU Langone Health, New York, NY, USADivision of Cardiology, Department of Medicine, NYU School of Medicine, NYU Langone Health, New York, NY, USADivision of Cardiology, Department of Medicine, NYU School of Medicine, NYU Langone Health, New York, NY, USAVascular complications from transradial percutaneous coronary intervention (PCI) are rare. We report an unusual case of stridor after PCI due to brachiocephalic artery perforation, pseudoaneurysm formation, and development of a large mediastinal hematoma with tracheal compression. Endovascular repair of the brachiocephalic artery was achieved with covered stent placement at the neck of the pseudoaneurysm. This case highlights the importance of careful guide catheter placement from the right radial approach. Ultimately, rapid diagnosis of vascular perforation, appropriate airway management, and prompt endovascular repair of the injured vessel is critical to the successful management of this life-threatening condition.http://dx.doi.org/10.1155/2018/6790120 |
| spellingShingle | Nathaniel R. Smilowitz Muhamed Saric Michael J. Attubato James N. Slater Mediastinal Hematoma and Tracheal Compression following Transradial Percutaneous Coronary Intervention Case Reports in Cardiology |
| title | Mediastinal Hematoma and Tracheal Compression following Transradial Percutaneous Coronary Intervention |
| title_full | Mediastinal Hematoma and Tracheal Compression following Transradial Percutaneous Coronary Intervention |
| title_fullStr | Mediastinal Hematoma and Tracheal Compression following Transradial Percutaneous Coronary Intervention |
| title_full_unstemmed | Mediastinal Hematoma and Tracheal Compression following Transradial Percutaneous Coronary Intervention |
| title_short | Mediastinal Hematoma and Tracheal Compression following Transradial Percutaneous Coronary Intervention |
| title_sort | mediastinal hematoma and tracheal compression following transradial percutaneous coronary intervention |
| url | http://dx.doi.org/10.1155/2018/6790120 |
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